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雷韦凡嗪:全球首次批准。

Revefenacin: First Global Approval.

机构信息

Springer, Private Bag 65901, Mairangi Bay, Auckland, 0754, New Zealand.

出版信息

Drugs. 2019 Jan;79(1):85-91. doi: 10.1007/s40265-018-1036-x.

DOI:10.1007/s40265-018-1036-x
PMID:30560478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6445810/
Abstract

Revefenacin (YUPELRI™) inhalation solution, a long-acting muscarinic antagonist (i.e. an anticholinergic) developed by Theravance Biopharma and Mylan, is the first and currently the only once-daily, nebulized bronchodilator to be approved in the USA for the treatment of chronic obstructive pulmonary disease (COPD). In November 2018, based on results of three phase III trials, the US Food and Drug Administration granted market authorization to revefenacin for the maintenance treatment of patients with COPD. This article summarizes the milestones in the development of revefenacin leading to this first global approval.

摘要

瑞福纳嗪(YUPELRI™)吸入溶液,一种由 Theravance Biopharma 和迈兰开发的长效毒蕈碱拮抗剂(即抗胆碱能药),是美国批准的首个也是目前唯一的每日一次雾化支气管扩张剂,用于治疗慢性阻塞性肺疾病(COPD)。2018 年 11 月,基于三项 III 期试验的结果,美国食品和药物管理局批准瑞福纳嗪用于 COPD 患者的维持治疗。本文总结了瑞福纳嗪开发过程中的重要里程碑,最终使其获得了这一全球首次批准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f11/6445810/b04200b84682/40265_2018_1036_Figb_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f11/6445810/7c877c18eb5f/40265_2018_1036_Figa_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f11/6445810/b04200b84682/40265_2018_1036_Figb_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f11/6445810/7c877c18eb5f/40265_2018_1036_Figa_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f11/6445810/b04200b84682/40265_2018_1036_Figb_HTML.jpg

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引用本文的文献

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J Exp Pharmacol. 2020 Dec 8;12:559-574. doi: 10.2147/JEP.S259330. eCollection 2020.
2
Emerging Treatments for COPD: Evidence to Date on Revefenacin.COPD 的新兴治疗方法:瑞氟米特的现有证据。
COPD. 2020 Feb;17(1):112-119. doi: 10.1080/15412555.2019.1702010. Epub 2019 Dec 13.
3
Revefenacin, a Long-Acting Muscarinic Antagonist, Does Not Prolong QT Interval in Healthy Subjects: Results of a Placebo- and Positive-Controlled Thorough QT Study.

本文引用的文献

1
Pharmacological properties of revefenacin (TD-4208), a novel, nebulized long-acting, and lung selective muscarinic antagonist, at human recombinant muscarinic receptors and in rat, guinea pig, and human isolated airway tissues.雷氟奈辛(TD-4208)的药理学特性:一种新型的、雾化的、长效的、肺部选择性的毒蕈碱拮抗剂,在人重组毒蕈碱受体以及大鼠、豚鼠和人离体气道组织中的作用。
Pharmacol Res Perspect. 2018 Apr 30;6(3):e00400. doi: 10.1002/prp2.400. eCollection 2018 Jun.
2
A 28-day, randomized, double-blind, placebo-controlled, parallel group study of nebulized revefenacin in patients with chronic obstructive pulmonary disease.一项为期 28 天、随机、双盲、安慰剂对照、平行分组的雾化瑞福奈齐治疗慢性阻塞性肺疾病患者的研究。
Respir Res. 2017 Nov 2;18(1):182. doi: 10.1186/s12931-017-0647-1.
3
雷夫法辛,一种长效毒蕈碱拮抗剂,在健康受试者中不会延长 QT 间期:一项安慰剂和阳性对照全面 QT 研究的结果。
Clin Pharmacol Drug Dev. 2020 Jan;9(1):130-139. doi: 10.1002/cpdd.732. Epub 2019 Aug 29.
Pharmacodynamics, pharmacokinetics and safety of revefenacin (TD-4208), a long-acting muscarinic antagonist, in patients with chronic obstructive pulmonary disease (COPD): Results of two randomized, double-blind, phase 2 studies.长效毒蕈碱拮抗剂 TD-4208 治疗慢性阻塞性肺疾病(COPD)患者的药效学、药代动力学和安全性:两项随机、双盲、2 期研究结果。
Pulm Pharmacol Ther. 2018 Feb;48:71-79. doi: 10.1016/j.pupt.2017.10.003. Epub 2017 Oct 4.
4
In vivo pharmacological characterization of TD-4208, a novel lung-selective inhaled muscarinic antagonist with sustained bronchoprotective effect in experimental animal models.在体内对 TD-4208 的药理学特性进行研究,这是一种新型的肺部选择性吸入性毒蕈碱拮抗剂,在实验动物模型中具有持续的支气管保护作用。
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